The Board for Certification in Clinical Anaplastology (BCCA) is offering one (1) administration of the CCA examination in 2017. Please refer to the applicable timelines below:

Timeline and Applicable Deadlines

July 15, 2018: The CCA Application for Eligibility and $300 fee due to the BCCA.

September 1, 2018: Confirmation notices are sent to eligible applicants with exam registration instructions and the  CCA Examination Registration Form.

October 1, 2018: The CCA Examination Registration Form and $800 fee are due to the BCCA.

November 10, 2018: An Authorization-to-Test (ATT) is sent to eligible candidates for the CCA administration.

December 10, 2018: CCA Administration at the Johns Hopkins in Baltimore, Maryland, USA.


Beginning in 2014, the Board of Directors and task forces initiated a review and update of the Standards for Initial Certification for the Certified in Clinical Anaplastology (CCA) program. The revised Standards included clarification and expansion of the original eligibility criteria as well as significant changes that would impact candidates considering certification through the BCCA. The revised Standards for Initial CCA certification was opened for membership comment during the second quarter of 2015. The BCCA Standards for Initial Certification were revised and approved in August 2015 for a January 2016 implementation.

Applications for the CCA may be submitted to the BCCA under the original eligibility criteria (pre-2016) through December 2018.

New Standards for Initial Certification

Patient Information Release Form

Supervised Clinical Experience Form


BCCA has developed requirements for eligibility to ensure that the application process is fair and impartial for all applicants. Each eligibility requirement has been established to ensure that individuals certified by BCCA have an acceptable level of knowledge and proficiency needed to provide clinical anaplastology services for a CCA. In establishing these requirements, the Board acknowledges that a combination of education, clinical experience and demonstrated knowledge are essential for individuals earning the CCA credential.

Candidates cannot earn certification without passing the certification examination.

The first step towards BCCA certification consists of successfully meeting the following eligibility criteria:

  1. BCCA Eligibility Application Form (refer to BCCA Eligibility Application Form)

  2. Application fee (currently $300 USD)

  3. Documentation of Educational & Training Requirements, including:

    • Educational Coursework Requirements* AND

    • Supervised Clinical Training*

  4. Documentation of Clinical Work Experience, including:

    • Listing of Portfolio Clinical Cases AND

    • Narrative Presentation of 3 Detailed Cases* AND

    • Detailed Cases Supporting Documents*

    • PowerPoint Portfolio of 3 Detailed Portfolio Cases* AND

    • PowerPoint Portfolio of 15 Concise Portfolio Cases*

  5. Two (2) Letters of Reference (refer to BCCA Letter of Reference Form)

* These requirements are detailed in the Certification Exam Eligibility Requirements & Application


The CCA examination contains 100, four-option multiple-choice questions. Candidates have three (3) hours to complete the paper-and-pencil examination. The CCA is only administered in English.

The examination consists of the following six (6) Domains:

  1. Assessment

  2. Treatment Planning

  3. Implementation

  4. Delivery and Patient Education

  5. Follow-Up Care

  6. Ethics and Professional Standards


The required documentation substantiating the applicant's examination eligibility will be reviewed by the BCCA Credentials Committee. If all requirements are fulfilled, the application will be accepted and the candidate will be authorized to register for the CCA examination (current exam fee $800 USD). 


BCCA will comply with the Americans with Disabilities Act (ADA) for candidates and will provide reasonable accommodations for candidates with a disability covered by this Act.

The information provided by candidates and any documentation regarding such disability and special accommodation, will be treated with strict confidentiality and will not be shared with any source, without the candidate’s express written permission, except for BCCA and authorized testing consultants.

Candidates requiring special accommodations must complete the Special Accommodations Request Form and the Disability-Related Needs Request Form (signed from a licensed healthcare provider) before scheduling the exam. These forms should be submitted with the examination application to BCCA. Arrangements for special accommodations may take up to 45 days to coordinate. Reasonable accommodations provide candidates with disabilities a fair and equal opportunity to demonstrate their knowledge and proficiency in the essential functions being measured by the examination.

Reasonable accommodations are decided based upon:

  • the individual’s specific request,
  • the individual’s specific disability,
  • documentation submitted,
  • the appropriateness of the request.

Reasonable accommodations generally are provided for candidates who:

  • have a physical or mental impairment that substantially limits that person in one or more major life activities (e.g. walking, talking, hearing, performing manual tasks)
  • have a record of such physical or mental impairment
  • are regarded as having a physical or mental impairment

Requests for accommodations will be reviewed by the Executive Director to ensure the request can be processed without jeopardizing the integrity or security of the examination. The Executive Director, or staff designee, will personally communicate with the candidate to ensure all processes and procedures are explained and that a testing appointment is scheduled to accommodate their needs accordingly.